The PedSpace Urology & VUR Podcast

The PedSpace Podcast

Palette Life Sciences proudly brings you The PedSpace, a podcast for valuable information on pediatric urology, vesicoureteral reflux and best practices with Deflux. The material within this podcast is based on the personal experience and learnings of the speaker(s).

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Latest Episodes

13: Neonatal Circumcision: Care After Cut
Nov 23, 2020
13: Neonatal Circumcision: Care After Cut

This episode is the last of a 3-part series focused on neonatal circumcision. The series will span suitability for circumcision, where to cut and what constitutes adequate after-care.

In this episode, Dr. Walid Farhat speaks with Clinical Associate Professor and Newborn Hospitalist Dr. Nicole Baumann-Blackmore and Pediatric Urologist Dr. Emily Blum about care after circumcision. They discuss best practices for educating caregivers about post-circumcision care and explain a physical therapy technique that is shared with caregivers to aid in the healing process.


To view the NeoCirc platform, please visit NeoCirc.org
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Walid A. Farhat
Chief of Pediatric Urology and Board-Certified Pediatric Urologist
University of Wisconsin
Madison, WI

Dr. Farhat is a professor and the chief of pediatric urology at the University of Wisconsin, American family Children’s Hospital, Madison. Dr. Farhat clinical expertise is in minimally invasive surgery and various common pediatric urological procedures. He has particular interest in the interface between engineers and surgeons on methods and strategies to enhance and improve surgical education, simulation models and skills acquisition. Dr Farhat’s research currently focuses on surgical outcomes with emphasis on the cost effectiveness of different surgical approaches.

Nicole Baumann-Blackmore
Clinical Associate Professor and Newborn Hospitalist
Madison, WI

Nicole Baumann-Blackmore, MD, FAAP, IBCLC is a clinical associate professor at the University of Wisconsin and practicing Newborn Hospitalist at UnityPoint Health-Meriter Hospital in Madison, Wisconsin. She attended medical school at the University of Wisconsin School of Medicine and Public Health, graduating in 2005. She then completed her residency at UW in 2008 and has been a practicing pediatrician in Madison since 2009. She lives in Middleton, WI, with her husband and three children.

Dr. Emily Blum
Board-Certified Pediatric Urologist
Atlanta, GA

Dr. Blum graduated cum laude from Bowdoin College with special honors in Biology and was elected to Phi Beta Kappa. She received her medical doctorate from Boston University where she graduated cum laude and was elected to Alpha Omega Alpha. While completing her residency at Beaumont Hospital in Royal Oak, Michigan, Dr. Blum spent a significant amount of time working on urban farming community development campaigns in Detroit. Her community work lead to a nomination for the AAMC Resident Physician Community Service Award during her chief year.

Dr. Blum continued her training as the A. Barry Belman Pediatric Urology Fellow at Children’s National Medical Center in Washington, D.C. During the research year of the 2-year fellowship program, she was also awarded the Joseph E Robert (JER), Jr. Fellowship for Pediatric Surgical Innovations. Dr. Blum’s research projects focused on utilizing artificial intelligence to assist in analyzing radiographic studies. She won top honors at the JER Academic Symposium both years.

She continues to pursue her interest in medical device innovations, particularly in bridging the gap between research and commercialization to improve patient care. Dr. Blum is a member of the research faculty at Georgia Tech and serves as a Medical Affairs Liaison for the Global Center for Medical Innovations.

In addition to general pediatric urology, Dr. Blum’s special surgical interests are in hypospadias and congenital hydronephrosis.

12: Neonatal Circumcision: Where Do I Cut?
Nov 09, 2020
12: Neonatal Circumcision: Where Do I Cut?

This episode is the second of a 3-part series focused on neonatal circumcision. The series will span suitability for circumcision, where to cut and what constitutes adequate after-care.

In this episode, Dr. Edwin Smith speaks with Newborn Hospitalist Dr. Elizabeth Goetz and Pediatrician in Chief and Hospitalist Dr. Mike Steiner about their approach to newborn circumcision and their experiences with the NeoCirc learning module for circumcision. They discuss whether standardization is necessary, how to determine landmarks, and usability of the module.
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Edwin Smith, M.D., F.A.A.P, F.A.C.S.
Associate Clinical Professor
Pediatric Urologist
Atlanta, GA


Dr. Edwin Smith is a board-certified urologist specializing in the practice of pediatric urology. He has been involved in resident teaching throughout his career and is a Clinical Associate Professor of Urology at Emory University School of Medicine. At Children’s Hospital of Atlanta, he has enjoyed involvement in medical staff affairs serving on committees and in leadership roles that emphasize patient safety and quality of care.


Elizabeth Goetz, M.D.
Newborn Hospitalist
Madison, WI

Elizabeth Goetz is a Newborn Hospitalist at the University of Wisconsin Madison. Interests include medical student and resident education, circumcision, breastfeeding, and Neonatal Abstinence Syndrome.

Mike Steiner, M.D.
Pediatrician in Chief and Hospitalist
University of North Carolina and UNC Children’s Hospital
Michael Steiner, MD, MPH is a general pediatrician and hospitalist at the University of North Carolina and UNC Children’s Hospital. He serves as the Pediatrician in Chief and Vice Chair of Clinical Affairs and Division Chief of General Pediatrics and Adolescent Medicine. He performs circumcision in the newborn nursery and in an outpatient hospital clinic.

11: Suitability for Neonatal Circumcision: May I Cut?
Oct 26, 2020
11: Suitability for Neonatal Circumcision: May I Cut?

This episode marks the start of a new 3-part series focused on neonatal circumcision. The series will span suitability for circumcision, where to cut and what constitutes adequate after-care. In the first episode, Dr. Max Maizels interviews specialists in Pediatrics (Dr. Chloe Salzmann) and Neonatology (Dr. Paola Fliman) about their approaches to “May I Cut” as practiced before and after viewing the NeoCirc e-learning module. NeoCirc.org was created by pediatric urologists, Dr. Max Maizels, Dr. Walid Farhat, Dr. Edwin Smith and Dr. Emily Blum, as a new approach to reduce adverse outcomes of neonatal circumcision. They believe such adverse outcomes stem from inconsistencies in procedure practices between providers, between institutions and across hospital networks. Consequently, they created NeoCirc.org to be an educational resource of circumcision concepts and methods for skill training which applies to pediatric specialists who perform neonatal circumcision.
To view the NeoCirc platform, please visit NeoCirc.org
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Max Maizels, M.D.
Professor of Urology, Northwestern University Feinberg School of Medicine Attending
Lurie Children’s Hospital Chicago, IL

Max has been on staff at Chicago Children’s Hospital since 1980. Over the years of clinical pediatric urology practice, he has incorporated creation of e-learning platforms to promote effectiveness in the operating room. Since 2010 he has researched to promote best practices for newborn circumcision. He is especially adept at performing such procedures when referred because of Pediatric Urological concerns. Max received his medical degree in 1973 from the University of California, Los Angeles School of Medicine. His postgraduate training included residency at Boston University Medical Center, Urology and Pediatric Urology at Northwestern University and Children’s Memorial Hospital. He currently sees patients at Ann & Robert H. Lurie Children's Hospital of Chicago.

Paola Fliman, M.D.
Attending Neonatologist
NICU Medical Director
SSM Hospital
Madison, WI

Paola has been a practicing clinical neonatologist at SSM Hospital in Madison, WI since 2005. She has served as the NICU medical director at SSM and has been president of Neonatal Resources of Wisconsin since 2012. Paola has a special interest in pediatric and newborn policy and protocol development and quality improvement projects. She started performing neonatal circumcision approximately 5 years ago. Paola received her medical degree from the Ohio State University College of Medicine in 1999. She completed her pediatric internship and residency at Mott Children’s Hospital at the University of Michigan in Ann Arbor and completed a neonatal-perinatal fellowship at Children’s Memorial Hospital at Northwestern UniversityChloe Salzmann, MD, FAAP
Pediatric Hospitalist, Advocate Children's Hospital - Park Ridge

Chloe has been on staff as a pediatric hospitalist at Advocate Children's Hospital in Park Ridge, IL since 2018. She is involved in the development of the newborn nursery curriculum for pediatric and family medicine residents and is working to create more formal and standardized education on determining suitability for newborn circumcision and evaluating success of newborn circumcision in residency training. Chloe received her medical degree from Rush Medical College in Chicago, IL in 2011. She completed her pediatric residency training at the Medical University of South Carolina in Charleston, SC in 2014. She worked in pediatric primary care from 2014-2017 before joining Advocate Children's Hospital as a pediatric hospitalist.

10: What is Physician Burnout?
Oct 12, 2020
10: What is Physician Burnout?

In this episode of The PedSpace, Dr. Barry Duel discusses the issue of physician burnout. Dr. Duel explains the signs and causes of burnout, how it’s measured, and defines interventions for alleviation and prevention.

Dr. Barry Duel is Director of Urology at SSM Cardinal Glennon Children's Hospital and Associate Professor of Surgery and Pediatrics at St. Louis University, where he is also the founding Program Director of the urology residency. Prior to that, he was a faculty pediatric urologist at Cedars-Sinai Medical Center in Los Angeles from 2008-2013, and an Associate Professor of Urology and Pediatrics at UC Irvine from 1998-2008. He is a Fellow of the American Academy of Pediatrics, American College of Surgeons and Society for Pediatric Urology. Dr. Duel received a BS in Biology from Cornell University and his MD from Harvard Medical School, where he also completed his urology training, followed by a fellowship at Children's Hospital of Michigan.

10: The Psychological Impact and Integrative Solutions to the Challenge of BBD in Families
Sep 28, 2020
10: The Psychological Impact and Integrative Solutions to the Challenge of BBD in Families

This episode is the last of a four-part series focused on bladder and bowel dysfunction (BBD). The series offers insight into different health care providers’ perspectives on managing BBD and is a great tool for sharing with your pediatric nurses, referral base, and other pediatric colleagues. In this episode of The PedSpace, child and family psychologist Dr. Don MacMannis discusses the psychological impact of bladder and bowel dysfunction and provides solutions to families of children with BBD. Dr. MacMannis outlines the psychosocial effects of BBD on children and shares applications of the latest brain research to family dynamics, as well as keys to healthy family interactions. Don MacMannis, Ph.D. is a child and family psychologist and Clinical Director of the Family Therapy Institute of Santa Barbara. He has specialized in the treatment of children and families for fifty years. In addition to his Ph.D. in Clinical Psychology, he has a Master’s degree in School-Child Psychology from the University of Virginia and a Bachelor’s degree from Dartmouth. He recently won the title of “Best Family Therapist” in a poll taken by SBParent.com.

“Dr. Mac” is the co-author of two highly acclaimed books. How’s Your Family Really Doing?: 10 Keys to a Happy Loving Family, Who’s the Boss? The Win-Win Way to Parent Your Defiant Strong-Willed Child, and Parenting Spirited Strong-Willed Kids, that has been attended by over a thousand parents internationally.

Also specializing in creative projects for young children, he was music director, scriptwriter and songwriter for the PBS hit series, Jay Jay the Jet Plane. Dr. Mac’s Happy Kids Songs are a series of over fifty award-winning songs and activities that have been shown to help boost character, social and emotional learning.

08: Managing Bladder and Bowel Dysfunction in Children
Sep 14, 2020
08: Managing Bladder and Bowel Dysfunction in Children

This episode is the third of a four-part series focused on bladder and bowel dysfunction (BBD). This series offers insight into different health care providers’ perspectives on managing BBD and is a great tool for sharing with your pediatric nurses, referral base, and other pediatric colleagues.

In this episode of The PedSpace, Pediatric Nurse Practitioner Shelly King discusses her pediatric urology clinic's approach to bladder and bowel dysfunction. She explains how patients are evaluated, diagnosed and treated and provides recommendations for parents who may be dealing with these issues in their own homes.

Shelly King is a pediatric nurse practitioner at Riley Hospital for Children at Indiana University. She is the manager of the Urology Clinic and Children's Continence Center and has more than 30 years of experience in the field of pediatric urology.

Her clinical expertise is in the care of neuropathic bladder, surgical reconstruction of the urinary tract, refractory bladder and bowel disorder, and sacral neuromodulation. King has served as an advisor to the Pediatric Urology Nurses Board, former Chair of the organization's section of the AAP and director of the urodynamic educational course for the Society of Urologic Nurses (SUNA). As adjunct faculty to IU School of Nursing, she lectures and precepts advanced practice nurses and nursing students.

Many educational tools for parents and patients were developed by Ms. King. To her credit are multiple professional publications, lectures and awards. Her personal commitment is to continence and urinary health in children.

07: The Role of Bladder and Bowel Dysfunction in VUR
Aug 31, 2020
07: The Role of Bladder and Bowel Dysfunction in VUR

This episode is the second of a four-part series focused on bladder and bowel dysfunction (BBD). This series offers insight into different health care providers’ perspectives on managing BBD and is a great tool for sharing with your pediatric nurses, referral base, and other pediatric colleagues.

In this episode of The PedSpace, Dr. Steve Hodges examines the connection between bladder and bowel dysfunction (BBD) and vesicoureteral reflux and how constipation affects bladder function and BBD diagnosis and treatment.Dr. Hodges is a board-certified pediatric urologist and professor of pediatric urology at Wake Forest University School of Medicine in Winston-Salem, North Carolina. Dr. Hodges earned his Bachelor of Arts degree from Duke University and his medical degree from Wake Forest School of Medicine. He completed his pediatric internship and residency at North Carolina Baptist Hospital. Dr. Hodges completed his fellowship at Children’s Hospital of San Francisco.

Dr. Hodges’ website and Facebook page called Bedwetting and Accidents serve as resources for parents, medical professionals and therapists. He has authored a peer-reviewed paper on his methods for treating constipation in the treatment of children with lower urinary tract symptoms.

Visit Dr. Hodges’ website

06: Bladder and Bowel Dysfunction from a Pediatrician's Point of View
Aug 17, 2020
06: Bladder and Bowel Dysfunction from a Pediatrician's Point of View

This episode marks the start of a new, four-part series focused on bladder and bowel dysfunction (BBD). This series offers insight into different health care providers' perspectives on managing BBD, and is a great tool for sharing with your pediatric nurses, referral base, and other pediatric colleagues.

In this episode of The PedSpace, Dr. Dan Brennan discusses how his practice is dealing with the present environment, and his approach to bladder and bowel dysfunction (BBD) as a general pediatrician. Dr. Brennan describes when BBD usually presents and how a parent knows whether there is a true issue or a digression from potty training. He also shares some resources to help parents of children with BBD.

Dr. Brennan is an award-winning, board-certified pediatrician, lactation counselor, husband, and proud father of three boys in Santa Barbara, California. Dr. Brennan is an accomplished health care columnist, public speaker, and a medical reviewer for WebMD. He has been featured on the American Academy of Pediatrics website, HealthyChildren.org, multiple medical publications, newspapers, Internet parenting sites, local television, radio, and national parenting magazines includingParenting, Baby Talk, American Baby and Pregnancy. Dr. Brennan was a medical consultant for the hit USA television shows Burn Notice and Complications.

In 2014, Dr. Brennan created Strive for 95, a community-based coalition to increase public awareness about the importance of vaccines and help rebuild community immunity levels to 95%. In 2002, he co-created CHAMP, a childhood nutrition, exercise, and education program. Dr. Brennan earned his Bachelor of Science degree from UCLA and his medical degree from Albany Medical College. He completed his pediatric internship and residency at Cedars-Sinai Medical Center and practices general pediatrics at Sansum Clinic in Santa Barbara. In his spare time, Dr. Brennan volunteers as the president of his local Little League and is an avid distance-runner, cyclist, community volunteer, and coach of his three sons’ soccer and Little League teams.

05: Tailoring the Management of VUR
Aug 03, 2020
05: Tailoring the Management of VUR

In this episode of The PedSpace, Dr. Antoine Khoury will discuss the approach at CHOC Children's and UC Irvine Medical Center for tailoring the management of vesicoureteral reflux based on individualized risk for recurrent urinary tract infections and progression.

Dr. Khoury specializes in the medical and surgical management of complex pediatric urology anomalies, including reconstructive surgery for incontinence, genital anomalies, renal transplantation and oncology. Dr. Khoury is the Chief of Pediatric Urology at both Children's Hospital Orange County and UC Irvine Medical Center.

Dedicated to clinical excellence, Dr. Khoury is board-certified in urology. Prior to joining CHOC Children’s, Dr. Khoury received his medical degree at Ain Shams University in Cairo, Egypt, and completed his residency in urology at the University of Toronto. Dr. Khoury completed his clinical fellowship and a research fellowship in pediatric urology at The Hospital for Sick Children in Toronto, Canada, followed by a research fellowship at the University of Calgary where he focused on biomaterial-related infections.

04: Adverse Impact of Antibiotic Use on Growth in Children
Jul 20, 2020
04: Adverse Impact of Antibiotic Use on Growth in Children

In this episode of The PedSpace, Dr. Christopher Cooper explains how gut microbiota plays an important role in many aspects of health, including weight. He describes how antibiotic usage can adversely impact the gut microbiota and challenges listeners to think carefully about the potential long-term side effects of antibiotics.Dr. Cooper's research focuses on the etiology, diagnosis and treatment of fetal genitourinary anomalies and pediatric bladder dysfunction. Over the last several decades, his research studies have concentrated on the decision making process for treating children with VUR. Dr. Cooper and his colleagues have developed several computational models to predict VUR outcome in order to provide more individualized management of patients with VUR.

03: Improving the VUR Grading System
Jul 06, 2020
03: Improving the VUR Grading System

In this episode of The PedSpace, Dr. Christopher Cooper explores the inherent flaws in the reflux grading system, which has long been the accepted keystone in determining vesicoureteral reflux (VUR) management. Dr. Cooper explains the limitations of the grading system proposes possible solutions.Dr. Cooper's research focuses on the etiology, diagnosis and treatment of fetal genitourinary anomalies and pediatric bladder dysfunction. Over the last several decades, his research studies have concentrated on the decision making process for treating children with VUR. Dr. Cooper and his colleagues have developed several computational models to predict VUR outcome in order to provide more individualized management of patients with VUR.

02: Telemedicine and VUR
Jun 22, 2020
02: Telemedicine and VUR

In this episode of the PedSpace, Dr. Aaron Martin discusses how telemedicine can be a vital tool for vesicoureteral reflux (VUR). In his practice he has seen a significant percentage of children with VUR who also have bladder and bowel dysfunction (BBD). With telemedicine now being used routinely, it is a valuable tool for enhancing treatment. This conversation dives deep into the benefits of telemedicine in enhancing patient care and increasing patient compliance for treatment protocol.Dr. Aaron Martin completed his urology residency at Mayo Clinic Arizona and pediatric urology fellowship at Children’s National in Washington, DC. He practices at Children’s Hospital New Orleans where he also serves as Telemedicine Medical Director. His research interests focus on the intersection of medicine, technology, and healthcare delivery with several projects involving telemedicine and surgical device innovation.

01: The Art of a Telemedicine Visit
Jun 19, 2020
01: The Art of a Telemedicine Visit

In this episode of the PedSpace, Dr. Aaron Martin dives deep into the art of a telemedicine visit. Dr. Martin explains how to set the stage before your appointment: Hardware set-up, environment, background, and sound as well as how to maintain your professionalism while on camera with your patient. This insightful conversation will leave you with some helpful tips to make the most of your next telemedicine visit.Dr. Aaron Martin completed his urology residency at Mayo Clinic Arizona and pediatric urology fellowship at Children’s National in Washington, DC. He practices at Children’s Hospital New Orleans where he also serves as Telemedicine Medical Director. His research interests focus on the intersection of medicine, technology, and healthcare delivery with several projects involving telemedicine and surgical device innovation.

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